<!DOCTYPE html>
<html>

<head>
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width,initial-scale=1,minimum-scale=1,maximum-scale=1,user-scalable=no" />
    <title>申报</title>
    <link rel="stylesheet" href="css/bootstrap.min.css">
    <link rel="stylesheet" href="css/mui.min.css" />
    <link rel="stylesheet" href="css/mui.picker.css" />
    <link rel="stylesheet" href="css/mui.poppicker.css" />
    <link rel="stylesheet" href="css/webfont.css" />
    <link href="css/css.css" rel="stylesheet" />
</head>

<body>
    <!-- 内页头部 -->
    <div class="container header-min">
        <div class="title"><a href="index.html"><img src="img/logo_min.png" alt=""></a>温州市产业政策奖励兑现系统 <a href="personal.html" class="text-white float-right mr-1"><i class="fa fa-user-circle"></i></a> </div>
    </div>
    <!-- 内页头部结束 -->
    
    <div class="shell">

        <h3 class="page-title center-title">
            平阳县软件能力成熟度认证奖励申请表
        </h3>
        <div style="float: right;"></div>

        <form action="http://127.0.0.1:8000/wxapp/hall/apply2?workflow_id=1001408&amp;user_type=company#" id="dataForm" method="post" novalidate="novalidate">
            <table class="form-table">
                

<tbody>
<tr>
    <td class="form-label first">批次名称<span class="required" aria-required="true">*</span></td>
    <td colspan="5">
        <input type="text" name="batch_name" data="batch_name" value="2020 手机端测试" disabled="">
    </td>
</tr>
<tr>
    <td class="form-label first">统一信用代码<span class="required" aria-required="true">*</span></td>
    <td colspan="5">
        <input type="text" placeholder="请填写统一信用代码" name="uniscid" data="uniscid" value="913303046628736010">
    </td>
</tr>
<tr>
    <td class="form-label">企业名称<span class="required" aria-required="true">*</span></td>
    <td colspan="5">
        <input type="text" placeholder="请填写企业名称" name="company_name" data="company_name" value="温州市卡曼德鞋业有限公司">
    </td>
</tr>
<tr>
    <td class="form-label">注册地址<span class="required" aria-required="true">*</span></td>
    <td colspan="5">
        <input type="text" placeholder="请填写企业注册地址" name="company_address" data="company_address" value="杭州市西湖区天目山路97号">
    </td>
</tr>
<tr>
    <td class="form-label">归属地址<span class="required" aria-required="true">*</span></td>
    <td colspan="5">
        
            <select id="company_attribution" type="text" placeholder="请填写企业归属地" class="form-control" style="width:50%;" name="company_attribution" data="company_attribution"><option value="市本级">市本级</option><option value="鹿城区">鹿城区</option><option value="龙湾区">龙湾区</option><option value="瓯海区">瓯海区</option><option value="洞头区">洞头区</option><option value="瑞安市">瑞安市</option><option value="乐清市">乐清市</option><option value="永嘉县">永嘉县</option><option value="平阳县">平阳县</option><option value="苍南县">苍南县</option><option value="文成县">文成县</option><option value="泰顺县">泰顺县</option><option value="瓯江口产业集聚区">瓯江口产业集聚区</option><option value="浙南产业集聚区">浙南产业集聚区</option><option value="浙南科技城区">浙南科技城</option></select>
            <span class="required" aria-required="true">请选择企业归属地，填写错误会影响申报奖励</span>
        
    </td>
</tr>
<tr>
    <td class="form-label">法人<span class="required" aria-required="true">*</span></td>
    <td colspan="2">
        <input type="text" placeholder="请填写法人" data="legal_person" name="legal_person" value="何兴妹">
    </td>
    <td class="form-label">手机或固定电话<span class="required" aria-required="true">*</span></td>
    <td colspan="2">
        <input type="text" placeholder="请填写法人手机或固定电话" name="legal_person_phone" data="legal_person_phone" value="12345678901"></td>
</tr>
<tr>
    <td rowspan="2" class="form-label">联系人<span class="required" aria-required="true">*</span></td>
    <td colspan="2" rowspan="2">
        <input type="text" class="full" style="height: 68pt;" placeholder="请填写联系人" name="contact_person" data="contact_person" value="方雅玉"></td>
    <td class="form-label third"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">手机或固定电话</font></font><span class="required" aria-required="true"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">*</font></font></span></td>
    <td colspan="2">
        <input type="text" placeholder="请填写联系人手机或固定电话" name="contact_person_phone" data="contact_person_phone" value="17306855730"></td>
</tr>
<tr>
    <td class="form-label"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">电子邮件</font></font></td>
    <td colspan="2">
        <input type="text" placeholder="请填写联系人邮箱" name="contact_person_email" data="contact_person_email">
    </td>
</tr>
<tr>
    <td class="form-label">银行基本户(此处请填写开户行名称)<span class="required" aria-required="true">*</span></td>
    <td colspan="5"><input type="text" placeholder="请填写银行基本户" data="bank_name" name="bank_name" value="中国银行">
    </td>
</tr>
<tr>
    <td class="form-label">银行账号<span class="required" aria-required="true">*</span></td>
    <td colspan="5"><input type="text" placeholder="请填写银行账号" data="bank_account" name="bank_account" value="12345678901">
    </td>
</tr>

                <tr>
                    <td class="form-label">申报项目内容<span class="required" aria-required="true">*</span>
                    </td>
                    <td colspan="5">
                        <input type="text" name="project_name" placeholder="申报项目内容是指以什么名义申报，填企业名称、具体事项或项目" data="project_name">
                    </td>
                </tr>
                <tr>
                    <td class="form-label">证明材料<span class="required" aria-required="true">*</span></td>
                    <td colspan="5">见下方区域</td>
                </tr>
                <tr>
                    <td class="form-label">申请奖励金额（元）<span class="required" aria-required="true">*</span></td>
                    <td colspan="5">
                        <input type="text" data="reward" name="reward" placeholder="请填写申请奖励金额">
                    </td>
                </tr>
                <tr>
                    <td class="form-label">核定奖励金额（元）</td>
                    <td colspan="5">
                        <input type="text" data="verify" name="verify" readonly="readonly" placeholder="此处由审核部门填写">
                    </td>
                </tr>
                <tr>
                    <td class="form-label">备注</td>
                    <td colspan="5">
                            <textarea class="remark" placeholder="若有补充请填写备注,不超过200字" maxlength="200" data="remark"></textarea>
                    </td>
                </tr>
            </tbody></table>
        </form>
        <form enctype="multipart/form-data">
            
                <h4>如果使用IE浏览器,上传文件失败,请使用其他浏览器尝试,若使用360浏览器等双核浏览器请使用其极速模式。</h4>

                <h4>请在下方区域上传相关文件</h4>
                <h6>
                    软件能力成熟度认证证书。
                </h6>
            
            <div id="fine-uploader-gallery"><div><div class="qq-uploader-selector qq-uploader qq-gallery" qq-drop-area-text="拖拽文件到此区域">
            <div class="qq-total-progress-bar-container-selector qq-total-progress-bar-container qq-hide">
                <div role="progressbar" aria-valuenow="0" aria-valuemin="0" aria-valuemax="100" class="qq-total-progress-bar-selector qq-progress-bar qq-total-progress-bar"></div>
            </div>
            <div class="qq-upload-drop-area-selector qq-upload-drop-area" qq-hide-dropzone="" style="display: none;">
                
            </div>

            
                <div class="qq-upload-button-selector qq-upload-button" style="position: relative; overflow: hidden; direction: ltr;">
                    <div>选择文件</div>
                <input qq-button-id="a8e8487a-de81-46c3-919c-6b19a1e87975" title="文件输入" multiple="" type="file" name="qqfile" style="position: absolute; right: 0px; top: 0px; font-family: Arial; font-size: 118px; margin: 0px; padding: 0px; cursor: pointer; opacity: 0; height: 100%;"></div>
            
            <span class="qq-drop-processing-selector qq-drop-processing qq-hide">
            <span>
                    拖拽文件到此区域
            </span>
            <span class="qq-drop-processing-spinner-selector qq-drop-processing-spinner"></span>
            </span>
            <ul class="qq-upload-list-selector qq-upload-list" role="region" aria-live="polite" aria-relevant="additions removals"></ul>

            <dialog class="qq-alert-dialog-selector">
                <div class="qq-dialog-message-selector"></div>
                <div class="qq-dialog-buttons">
                    <button type="button" class="qq-cancel-button-selector"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">关</font></font></button>
                </div>
            </dialog>

            <dialog class="qq-confirm-dialog-selector">
                <div class="qq-dialog-message-selector"></div>
                <div class="qq-dialog-buttons">
                    <button type="button" class="qq-cancel-button-selector"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">没有</font></font></button>
                    <button type="button" class="qq-ok-button-selector"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">是</font></font></button>
                </div>
            </dialog>

            <dialog class="qq-prompt-dialog-selector">
                <div class="qq-dialog-message-selector"></div>
                <input type="text">
                <div class="qq-dialog-buttons">
                    <button type="button" class="qq-cancel-button-selector"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">取消</font></font></button>
                    <button type="button" class="qq-ok-button-selector"><font style="vertical-align: inherit;"><font style="vertical-align: inherit;">好</font></font></button>
                </div>
            </dialog>
        </div></div></div>
        </form>
    </div>

    
    

</body>
<script src="js/jquery.min.js"></script>
<script src="js/bootstrap.min.js"></script>
<script src="js/mui.min.js"></script>
<script src="js/mui.picker.js"></script>
<script src="js/mui.poppicker.js"></script>

</html>